| NPI | 1174121032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: WY RBT-21-175774) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WY 111074-852) |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2021-08-10 |